Fildena Double-Extra Dose for Those Who Want More

Action Mechanism

Fildena Double inhibits Phosphodiesterase Type 5 (PDE5) enzymes that hinder the erection process. Sildenafil citrate active salt in Fildena Double is a PDE5 inhibitor. PDE5 is an enzyme found primarily in the penile tissues, responsible for breaking down a substance or molecule called cyclic guanosine monophosphate (cGMP).

Releases Nitric Oxide

During sexual stimulation, the body releases nitric oxide (NO) in the erectile tissue of the penis. It stimulates the production of cGMP, which causes the smooth muscles in the blood vessels of the penis to relax, allowing increased blood flow into the penis. This increased blood flow causes an erection.

PDE5 typically breaks down cGMP, limiting the ability to sustain an erection. Fildena Double (sildenafil 200 mg) blocks the PDE5 enzyme, allowing cGMP to accumulate and remain active for longer. This prolonged cGMP activity ensures that blood flow is maintained in the penile tissues during sexual stimulation, helping to maintain an erection.

Enhanced Blood Flow to the Penis

The relaxation of the smooth muscles in the corpus cavernosum (erectile tissue) allows the arteries in the penis to dilate, increasing blood flow into these areas. Simultaneously, the veins that drain blood from the penis are compressed, reducing blood outflow. This combination of enhanced inflow and restricted outflow helps to produce and sustain a firm erection.

Response to Sexual Stimulation

Fildena Double only works when you are sexually aroused or stimulated. It does not cause an automatic erection. Sexual arousal is necessary for nitric oxide to be released and trigger the cGMP pathway. Without sexual stimulation, sildenafil does not affect erection.

How is Fildena Double metabolized?

Once you take Fildena Double (usually about 30-60 minutes before sexual activity), sildenafil gets absorbed into the bloodstream. It reaches peak levels in the blood within 1 to 2 hours.

Sildenafil lasts approximately 4-5 hours. It can remain effective during this period. During this time, it helps to sustain erections during sexual activity. Afterward, the concentration of sildenafil in the bloodstream gradually decreases, and its effects diminish.

Effectiveness of Fildena Double

Due to the higher dose of 200 mg, Fildena Double may provide a more pronounced or longer-lasting effect than lower doses, but this also increases the potential for side effects.

It typically remains effective for about 4-6 hours after taking the pill. During this window, it improves the body's ability to achieve and maintain an erection when sexually stimulated.

200 mg of sildenafil is a high dose. Take Fildena Double only if prescribed and under medical guidance.

Reserved for Severe ED

The 200 mg dosage is typically prescribed only for men with severe ED who have not experienced satisfactory results with standard doses. It is for everyone. The patient should administer it under medical supervision because of the increased risk of side effects with higher dosages.

Longer Duration

While the duration of the effect for any sildenafil product typically lasts around 4-6 hours, the higher dosage in Fildena Double may result in more sustained results within that time frame. It helps men maintain stronger erections throughout sexual activity when sexually stimulated.

Availability in Generic Form

Like other generic sildenafil options, Fildena Double may be available in online markets where generic ED medications are permitted. It often makes it more accessible to individuals looking for higher doses at a lower price compared to brand-name medications.

Potential Overdose Risks

Taking more than the prescribed dose or using it without medical advice can increase the likelihood of an overdose, which could lead to severe complications like heart attack, stroke, or other life-threatening conditions.

Follow Prescribed Dosage

Do Not Overdose. Do not exceed the prescribed dose of Fildena Double (200 mg). Taking more than the recommended amount increases the risk of side effects without increasing its effectiveness. The 200 mg dose is the maximum for sildenafil, and taking more could lead to serious health risks like priapism (prolonged erection), heart problems, or severe hypotension.

Spacing Doses

Do not take more than one tablet in a 24-hour.

Avoid Taking Certain Medications.

Nitrates

Never take Fildena Double with medications containing nitrates (such as nitroglycerin or isosorbide), which doctors commonly prescribe for chest pain or heart problems. The combination can cause a dangerous and life-threatening drop in blood pressure.

Alpha-Blockers

Medications used to treat high blood pressure or prostate conditions (like doxazosin or tamsulosin) can also interact with sildenafil, leading to a significant drop in blood pressure.

Other ED Medications

Do not take Fildena Double in combination with other medications for erectile dysfunction (like tadalafil or vardenafil), as this can increase the risk of severe side effects.

CYP3A4 Inhibitors

Medications that affect liver enzymes (like antifungals, certain antibiotics, or HIV protease inhibitors) may increase the concentration of sildenafil in the blood, prolonging its effects and the risk of side effects.

Underlying Health Conditions

Heart Conditions

Men with severe heart disease, angina, a history of heart attack, or stroke should be especially cautious. Sildenafil can place extra strain on the heart due to increased physical activity (sexual activity) and blood flow changes.

Low or High Blood Pressure

Those with uncontrolled blood pressure (high or low) should avoid Fildena Double, as it can exacerbate these conditions.

Liver or Kidney Problems

If you have liver disease or kidney dysfunction, your body may not process sildenafil efficiently, which can lead to a build-up of the drug in your system and increase the risk of side effects.

Eye Problems

Patients with a rare inherited eye disease called retinitis pigmentosa or anyone with a history of severe vision loss, such as non-arteritic anterior ischemic optic neuropathy (NAION), must avoid using sildenafil without medical supervision due to the risk of vision problems.

Avoid Certain Foods and Substances

Alcohol

Alcohol can increase the likelihood of side effects like dizziness, fainting, or low blood pressure. It can also impair your ability to get an erection, reducing the effectiveness of Fildena Double.

Grapefruit Juice

Grapefruit and grapefruit juice can interfere with how sildenafil is metabolized in your body, leading to higher levels of the drug and a higher risk of side effects.

Heavy or Fatty Meals

Taking Fildena Double with a heavy or high-fat meal can delay its absorption, making it take longer to work.  If you want faster absorption or a quicker effect, take it on an empty stomach or after a light meal.

Common side effects of sildenafil

• Headache
• Flushing
• Indigestion
• Nasal congestion
• Blurry vision
• Dizziness
• Indigestion
• Nausea
• Back or muscle pain
• Vision change

Increased Risk of Severe Side Effects

• Sudden drop in blood pressure (especially if taken with nitrates or certain medications).
• Vision or hearing problems
• Priapism (a prolonged erection lasting more than 4 hours, requiring immediate medical attention).
• Chest pain
• Shortness of breath
• Severe dizziness
• Severe allergic reactions
• Arrhythmia (irregular heartbeat), pounding
• Heart problems
• Severe Hypotension
• Heart attack, stroke, fainting

Can I use Fildena Double safely?

Not for Everyone: Fildena Double is not for men with certain medical conditions, such as heart disease, high or low blood pressure, or those taking medications that could interact with sildenafil (such as nitrates or alpha-blockers). Always consult a doctor before using this high-dose ED medication.

Can I get an erection automatically with Fildena Double?

It does not cause automatic erections. You need to have sexual stimulation for the medication to work toward attaining and sustaining erection.

Does Fildena Double Cure Erectile Dysfunction?

It has a short-term and temporary Effect on the erection. Fildena Double enhances the body's natural erectile function but does not cure erectile dysfunction.

When can I take Fildena Double?

For optimal results, take the pill about 30 to 60 minutes before planned sexual activity, though some men report it remains effective even after 2 hours.

Can I take Fildena Double with Alcohol and meals?

Avoid Alcohol and Heavy Meals. Alcohol and large or fatty meals can delay the absorption and effectiveness of sildenafil.